A nurse is providing teaching to a client who has a prescription for a quadruple marker screen. Which of the following statements by the client demonstrates an understanding of the teaching?

A. Strain the client's urine: Straining urine is not necessary with low-dose rate brachytherapy for prostate cancer. The radioactive seeds are typically implanted permanently and remain in place; they are not expected to be excreted in the urine.

B. Instruct visitors to stay 1 m (3.3 feet) away from the client: Maintaining a safe distance reduces radiation exposure to others. Visitors, especially pregnant individuals and children, should remain at least 1 meter away to limit exposure while the implant is active.

C. Attach a dosimeter to the client's gown: The dosimeter is worn by staff members, not by the client. It measures cumulative radiation exposure to healthcare workers, ensuring safety guidelines are followed during patient care.

D. Limit each of the client's visitors to 2 hr per day: For low-dose permanent brachytherapy, the radiation levels are generally low, and strict time limits for visitors are usually unnecessary if distance and precautions are observed. Limiting time may apply more to high-dose temporary implants.

• Monitor blood pressure every hour:Frequent blood pressure monitoring is necessary due to the client’s history of chronic hypertension and gestational diabetes, both of which increase the risk for preeclampsia.
• Initiate an IV infusion of lactated Ringer's:IV fluids help maintain hydration, support uteroplacental perfusion, and provide a route for medications if needed. This is a routine step in labor management.
• Place the client in a left lateral position:This position enhances uteroplacental circulation by reducing pressure on the inferior vena cava, especially important when fetal heart rate shows minimal variability.
• Maintain continuous monitoring of the FHR:Minimal variability and elevated baseline (168/min) warrant continuous fetal monitoring to assess for potential fetal distress or effects of meconium-stained fluid.